Individual
BONNIE L. RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSITUTION AVE. NE, ALBUQUERQUE, NM 87110
(505) 559-1133
(505) 724-8995
Mailing address
480W CENTRAL PKWY, ALTAMONTE SPRINGS, FL 32714-2415
(407) 379-0186
(407) 379-0511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57121
NC
207Y00000X
Otolaryngology Physician
Primary
MD2007-0642
NM
Other
Enumeration date
10/12/2006
Last updated
08/19/2015
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